Collom & Carney Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLLOM & CARNEY CLINIC

Practice address

1440 W 1St St N
Prescott, AR 71857-3339

Phone

(870) 887-8001

NPI assigned

Aug 22, 2007

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

COLLOM AND CARNEY CLINICAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary E Dwight, CCS-P, MHA, CMPE

Title

Chief Operating Officer

Phone

(903) 614-3282

Specialties & licenses 1

Addresses

Other names 1

• Collom & Carney Clinic Prescott DME Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Collom Carney Clinic Assoc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1881887891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573339",
            "telephone_number": "870-887-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLOM & CARNEY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLOM AND CARNEY CLINIC",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "DWIGHT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "903-614-3282",
        "authorized_official_credential": "CCS-P, MHA, CMPE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collom & Carney Clinic Prescott DME",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Collom & Carney Clinic Prescott DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• J Dawn Butler
• Charles Vermont, M.D., PLLC
• Abby Layne Clark, COTA/L
• Amanda Gayle Collier, RN
• Kamryn Rein Collier
• Collom & Carney Clinic Association
• Linda Conway
• Kendra N Copeland
• Dionne Lafelle Coulter
• William E Craven

• Durable Medical Equipment & Medical Supplies in Prescott, AR
• Providers in Prescott, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.